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Home/Diagnosis/ICD-10 Coding for Kyphoplasty

ICD-10 Coding for Kyphoplasty

M80.08xA
C79.51

Complete ICD-10-CM coding and documentation guide for icd-10 coding for kyphoplasty includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Balloon Kyphoplasty
Percutaneous Vertebral Augmentation
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Key Information: ICD-10 Coding for Kyphoplasty

Essential facts and insights about ICD-10 Coding for Kyphoplasty

Use ICD-10 code M80.08xA for age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Age-related osteoporosis with current pathological fracture, vertebra(e), initial encounter

Billable Code
M80.08xA
Billable

Diagnostic Criteria

  • • Bone density T-score ≤-2.5
  • • Imaging evidence of vertebral compression fracture

Applicable To

  • • Osteoporotic vertebral compression fracture

Important Notes

  • • Ensure documentation specifies osteoporosis as the cause of fracture.

Secondary malignant neoplasm of bone

Billable Code
C79.51
Billable

Diagnostic Criteria

  • • Biopsy confirmation of metastasis
  • • Imaging showing vertebral involvement

Applicable To

  • • Metastatic bone disease

Important Notes

  • • Document the primary site of cancer if known.
Ancillary Codes

Additional codes that may be used with this diagnosis

C79.51

Secondary malignant neoplasm of bone

Use when kyphoplasty is performed due to metastatic lesions.

Frequently Asked Questions

What is the ICD-10 code for kyphoplasty?

The ICD-10 code for kyphoplasty due to osteoporotic fracture is M80.08xA. For metastatic fractures, use C79.51.

How do you code kyphoplasty across spinal regions?

Use a primary code for the initial region (22513 or 22514) and add-on code 22515 for additional levels, even if crossing regions.

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